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Veterinary Health Certificate for the Import of U.S. returning pet birds into the United States from countries

affected with Highly Pathogenic Avian Influenza

Veterinary Authority Date Of Issue Health Certificate Number 

CERTIFICATION

Section A. Completed by the Issuing or Authorized Veterinarian

1. Consignor/Shipper/Owner:

Name:

Address:

Country

2. Consignee/Broker/Owner:

Name:

Address:

Country

3. Country of Export 4. Date of Shipment:

5. Country Of Destination:

USA

6. Destination State:

7. XXXXXXXXXXXXXX 8. Port Of Embarkation / (city and port):

9. Description of Commodity:

US returning 

 

10. Means Of Transport:

 

11. Commodities Intended Use:

 Pet

12. XXXXXXXXXXXXXXX

13: Total Number Of Shipping Containers: 14. XXXXXXXXXXXXXXXXXXX

15. Identification Of Birds:

Row Name /Identification Species/Breed Physical Description Age

Months/years

Weight

(gms)

Sex

1

2

3

4

5

Note: After February 19, 2018, the United States origin pet bird weighing over 100 grams must be identified by 

any of the following forms of Identification (microchip1, leg band, or tattoo) to be eligible for home quarantine upon 

return.

Note: Shipments of birds which are 5 or less are considered as “pet bird shipments.” Shipments of birds with 6 or 

more are considered commercial shipments and must use a different health certificate.

1.Importers with birds that are microchipped must provide APHIS a reader to read the chip upon U.S. arrival

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Veterinary Health Certificate for the Import of U.S. returning pet birds into the United States from countries

affected with Highly Pathogenic Avian Influenza

XXXXXXXXXXXXXXXXXXXXXXXXXXXX

XXXX

Date Of Issue Certificate Number 

Section B. The issuing /official veterinarian certifies for export that all pet birds covered by this certificate have been inspected 

within 30 days of the issuance date of this document and attests to the following statements: 

_____________________________________________________________________________________________________________

1. The bird(s) is/are being exported in accordance with the laws of the exporting country. 

2. There was no evidence of communicable diseases of poultry upon examination of the bird(s). 

3. The bird(s) covered by this certificate does/do not originate from flocks nor had contact with any 

birds or poultry originating in a control zone established by state/provincial/federal animal health 

authorities due to outbreaks of Newcastle disease or Highly Pathogenic Avian Influenza (HPAI)

in the previous 90 days.

4. The bird(s) was/were not vaccinated against any H5 or H7 subtype of avian influenza. 

5. CHOOSE EITHER OPTION (a) OR (b) BELOW: (strike out that which does not apply)

(a). The bird(s) was/were not vaccinated against Newcastle disease

 OR

(b). The bird(s) has/have been vaccinated against Newcastle disease (avian paramyxovirus) 

at least 21 days prior to export, using vaccines that do not contain any velogenic strains of 

Newcastle disease virus. 

6. The shipment will not transit through any region where APHIS considers highly pathogenic avian 

influenza to exist.

7. The birds were placed in new or appropriately sanitized packing materials at the premise from 

which the export process began.

 

 

 

**********************Certificate shall be valid for 30 days from date of issue************************

If the issuing veterinarian is the same as the official veterinarian, only 1 signature and stamp is required.

Name of Issuing Veterinarian (Printed) Name of Official Veterinarian (Printed) 

Signature of Issuing Veterinarian Signature of Official Veterinarian

Date Date